{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T05:56:55Z","timestamp":1773035815621,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T00:00:00Z","timestamp":1757548800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T00:00:00Z","timestamp":1757548800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Emergency cervical cerclage is a critical intervention performed during the second trimester of pregnancy. Unlike elective cerclage performed prophylactically in early pregnancy, emergency cerclage is placed reactively in the presence of advanced cervical changes, often with exposed membranes, aiming to prolong pregnancy beyond viability. This case series retrospectively analyzed the outcomes of five patients who underwent emergency cervical cerclage for advanced cervical dilatation between January 1, 2025, and June 31, 2025. The mean pregnancy extension was 64\u2009days, ranging from 5 to 143\u2009days. Outcomes depended on factors such as the timing of the intervention, the type of suture material used, and the patient's clinical presentation. Two patients required a repeat cerclage. Of the five patients who underwent emergency cervical cerclage, four resulted in live births, while one case was complicated by a second\u2010trimester pregnancy loss despite the intervention. This case series highlights the importance of timely diagnosis, appropriate patient selection, and meticulous surgical technique in optimizing outcomes following emergency cerclage. Despite the limited sample size, early intervention is a key factor in improving gestational prolongation and neonatal survival.<\/jats:p>","DOI":"10.1002\/ijgo.70530","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T10:14:19Z","timestamp":1757585659000},"page":"1796-1801","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Extending the pregnancy from pre\u2010viable to viable, the place of\u00a0emergency cerclage"],"prefix":"10.1002","volume":"172","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9434-3545","authenticated-orcid":false,"given":"Sampath","family":"Gnanarathne","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Medicine University of Peradeniya  Peradeniya Sri\u00a0Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1359-7386","authenticated-orcid":false,"given":"Chandima","family":"Rathnayake","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Medicine University of Peradeniya  Peradeniya Sri\u00a0Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.6994"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.893244"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10061270"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000850"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.21608\/ijma.2023.212954.1693"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1126\/scitranslmed.aag1026"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.5505\/ejm.2020.60430"},{"issue":"6","key":"e_1_2_9_9_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2023-071564","article-title":"Emergency cerclage using double\u2010level versus single\u2010level suture in the management of cervical insufficiency (Cervical Occlusion double\u2010level Stitch Application, COSA): study protocol for a multicentre, non\u2010blinded, randomised controlled trial","volume":"13","author":"Kaczy\u0144ska KK","year":"2023","journal-title":"BMJ Open"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2014.921676"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2023.100971"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70530","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.70530","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70530","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T04:58:48Z","timestamp":1773032328000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.70530"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,11]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/ijgo.70530"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.70530","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,11]]},"assertion":[{"value":"2025-07-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}